| Court Clinic | |
|
909 Sycamore St Cincinnati OH 45202-1305 | |
| (513) 352-1342 | |
| (513) 352-1345 |
| Full Name | Court Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 909 Sycamore St, Cincinnati, Ohio |
| Authorized Official Name and Position | Walter S Smitson (PRESIDENT / CEO) |
| Authorized Official Contact | 5135589015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Court Clinic 909 Sycamore St Cincinnati OH 45202-1305 Ph: (513) 352-1342 | Court Clinic 909 Sycamore St Cincinnati OH 45202-1305 Ph: (513) 352-1342 |
| NPI Number | 1881954972 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881954972 | NPI | - | NPPES |
| 41177 | Other | OH | CARF |
| MC-21-41 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10126 (Ohio) | Primary |
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